Hillsboro Middle School Counseling Request
*this information will be kept confidential and only accessed by your school counselors. Please note this will only be monitored during school hours. If it is an emergency please call 911
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Student's Full Name (for the counselor to see) *
Grade *
Area of Concern *
Required
Any additional info you would like to share
Person Completing Form (teacher, self, peer or parent name) *
If this is a self referral please share the best way to contact you  (schoology messages, wcs email, etc.)
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